| NPI | 1497086169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA BALLESTEROS PAGTAMA Owner 808-678-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2022-07-21 |